Individual
LON KENDALL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3134 BRIARCREST DR, BRYAN, TX 77802-3014
(979) 314-2323
Mailing address
4711 WESTMINSTER DR, BRYAN, TX 77802-5912
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
L9566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167074703
—
TX
Enumeration date
05/23/2006
Last updated
06/03/2024
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